Cora Louise Braun Melnick, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

160179 Issued in AK

Practice address

15B Revine Creek Trail
Denali Park, AK 99755-9975

Phone

(907) 799-9554

NPI assigned

Jun 2, 2016

Last updated

Dec 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Cora Louise Braun Former name

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Out Patient at Home Physical Therapy LLCGroup PAC ID 7911333687, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cora.melnick.1@21088.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Out Patient at Home Physical Therapy LLC

  dba Julienne Cook-Mayfield DPT, ATC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1356991525
  Medicare reassignment Care Compare group NPD
• Patricia Sanders

  dba Denali Physical Therapy

  • Physical Therapy Clinic/Center
  • Denali National Park, AK
  • NPI 1841889318
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1447608260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222",
            "city": "DENALI PARK",
            "state": "AK",
            "postal_code": "997550222",
            "telephone_number": "907-799-9554",
            "fax_number": "907-683-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15B REVINE CREEK TRAIL",
            "city": "DENALI PARK",
            "state": "AK",
            "postal_code": "997559975",
            "telephone_number": "907-799-9554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 W University Ave",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860012986",
            "country_code": "US",
            "telephone_number": "928-556-9935",
            "fax_number": "928-774-4277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELNICK",
        "first_name": "CORA",
        "middle_name": "LOUISE BRAUN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12266PT",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "160179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORA",
            "last_name": "BRAUN",
            "middle_name": "LOUISE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Horizon Medical, Inc (Canyon Clinic at Denali)
• Kate Barr Orlofsky, LMT
• Wild Light Massage & Wellness LLC
• John J Winklmann, PA

• Physical Therapist in Denali Park, AK
• Providers in Denali Park, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.